64 results
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
caused by a massive pericardial ... effusion, cardiac ... Pulmonary embolism ... Tamponade: pericardial ... Signs: Normal cardiac
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... with Pericardial ... larger right sided pericardial ... #pericardial #effusion ... ultrasound #Cardiology #A4c
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... dilated IVC - Cardiac ... pericarditis, Pericardial ... Tamponade - Pulmonary ... Cardiac surgery?
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
in vitals and shock ... Echocardiogram #A4c ... cardiology #effusion #pericardial
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... - Cardiogenic Shock ... Sounds • Pulmonary ... Pneumothorax • Cardiac
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... embolism - Pericardial ... DrEricStrong #Shock
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... in a Shock Patient ... Echocardiogram #Cardiac ... #Tamponade #Pericardial
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... • Obstructive: Pericardial ... tamponade, Pulmonary ... #Vasopressors #shock
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... • Neurogenic shock ... Obstructive: • Cardiac
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
deep breathing Pulmonary ... motion (PVFM) Cardiac ... embolism • Cardiac ... ischemia • Pericardial ... • Hypovolemic shock